2023-05-12T13:05:02+00:00 2022-06-30 346565596 ERNST & YOUNG US LLP 1101 NEW YORK AVE NW WASHINGTON DC 20005 990 2021-07-01 520689917 Baltimore Washington Medical Center Inc BALT 4107874160 301 Hospital Drive Glen Burnie MD 21061 ALFRED A PIETSCH SVP/CFO 2023-05-12 true ALFRED A PIETSCH 999009999 Amber Gazica P01391011 2023276000 2021 2023-04-26 12:10:37Z UM BALTIMORE WASHINGTON MEDICAL CENTER KATHLEEN C MCCOLLUM 301 Hospital Drive Glen Burnie MD 21061 624086338 false X www.umms.org/bwmc X 1964 MD TO PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO THE COMMUNITIES WE SERVE. 19 16 3672 104 0 0 27066836 5780290 436516662 465919748 5570309 27706067 1161175 1101521 470314982 500507626 0 261404 0 0 194357833 193498441 0 0 0 242641479 253930494 436999312 447690339 33315670 52817287 709776001 632938478 343806586 285760314 365969415 347178164 THE MISSION OF BALTIMORE WASHINGTON MEDICAL CENTER (BWMC) IS TO PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO THE COMMUNITIES WE SERVE. OUR VISION IS TO BE THE PREFERRED REGIONAL MEDICAL CENTER THROUGH NATIONALLY RECOGNIZED QUALITY, PERSONALIZED SERVICE AND OUTSTANDING PEOPLE. false false 380750609 261404 465919748 See Schedule O. 380750609 true true false true false false false false false true true false true true true false true false false false false false false false false true true false true true false false false false false false false false false false false false false true false false false true 0 0 3672 true false false false false false false false false false false false false X 19 16 false false false false true true true true true false false true true true true true true false false true true MD X Amy M Myers 4434623573 900 ELKRIDGE LANDING ROAD - 3 EAST LINTHICUM MD 21090 CHRISTOPHER J GALLANT II SECRETARY 1.0 1.0 X X 0 0 0 JEFFREY S ARMIGER CHAIRMAN 1.0 2.0 X X 0 0 0 JULIE MUSSOG VICE CHAIRMAN 1.0 1.0 X X 0 0 0 KATHLEEN C MCCOLLUM CEO AND PRESIDENT, UMBWMC 1.0 45.0 X X 0 762961 41089 THOMAS R GARDNER TREASURER 1.0 1.0 X X 0 0 0 Bernard E Condon DIRECTOR 1.0 1.0 X 0 0 0 CHIRAG CHAUDHARI MD Director 1.0 42.0 X 0 477752 31628 Drew J Hawkins Jr Director 1.0 1.0 X 0 0 0 Frances B Phillips Director 1.0 1.0 X 0 0 0 Karen Cook Director 1.0 1.0 X 0 0 0 KORKUT ONAL Director 1.0 1.0 X 0 0 0 LOUIS L ZAGARINO CHA DIRECTOR 1.0 1.0 X 0 0 0 Mohan Suntha MD PRESIDENT AND CEO, UMMS 1.0 59.0 X 0 3436975 40732 NEIL A GREENBERG DIRECTOR 1.0 1.0 X 0 0 0 NICHOLAS W CLARK DIRECTOR 1.0 1.0 X 0 0 0 PAMELA G BEIDLE DIRECTOR 1.0 1.0 X 0 0 0 Robert Norton Director 1.0 1.0 X 0 0 0 SPENCER D NEAL DIRECTOR 1.0 2.0 X 0 0 0 STANLEY J KLOS JR DIRECTOR 1.0 1.0 X 0 0 0 ALFRED A PIETSCH SVP AND CFO 1.0 44.0 X 0 504317 32450 David G Hunt SVP AND CNO 1.0 40.0 X 0 391553 40395 JASON CARTER SVP AND COO, UMBWMC 1.0 44.0 X 0 154781 18722 NEEL VIBHAKAR MD SVP AND CMO 1.0 41.0 X 0 651885 36955 BEVERLY YOUNG DIRECTOR PERIOPERATIVE SERVICES 40.0 0 X 209873 0 18802 BRIAN COTTER DIRECTOR PHARMACY 40.0 0 X 237505 0 3923 Gladys A Moses REGISTERED NURSE 40.0 0 X 206682 0 15188 Jana S Gelman REGISTERED NURSE 40.0 0 X 199178 0 12139 Kimberly Steiner Registered Nurse 40.0 0 X 224259 0 597 CATHERINE WHITAKER-KLICK Former SVP and CNO 0.0 40.0 X 0 346302 19978 KAREN E OLSCAMP FORMER CEO AND PRESIDENT, UMBWMC 0.0 0.0 X 0 402761 11119 1077497 7129287 323717 335 true true false THE WHITING TURNER CONTRACTING PO BOX 17596 Baltimore MD 21297 Construction 19413055 CROSS COUNTRY STAFFING PO BOX 404674 Atlanta GA 303844674 Employment Services 8206786 AYA HEALTHCARE INC PO BOX 123519 Dallas TX 753123519 Employment Services 4099958 CONSOLIDATED MEDICAL SERVICES 11027 MCCORMICK RD Hunt Valley MD 21031 Healthcare Services 2311443 PHILIPS HEALTHCARE PO BOX 100355 ATLANTA GA 303840355 Healthcare Services 2189821 69 1003575 4776715 5780290 NET PATIENT REVENUE 622110 465919748 465919748 0 0 0 0 0 0 465919748 2362055 0 0 2362055 875354 0 0 0 875354 0 875354 0 0 875354 148922724 0 123578712 0 25344012 0 25344012 0 0 25344012 Telephone services 621999 91234 0 0 91234 Discounts 621999 4023 0 0 4023 Medical Records 621999 5582 0 0 5582 125328 0 0 125328 226167 500507626 465919748 0 28807588 X 261404 261404 0 0 159034356 115895083 43139273 0 4074265 2969090 1105175 0 18466899 13457613 5009286 0 11922921 8688738 3234183 0 16859 0 16859 0 527076 0 527076 0 117403004 117388197 14807 0 50487 36792 13695 0 1638824 1194281 444543 0 5441493 3965447 1476046 0 12884 9389 3495 0 210875 153674 57201 0 5029203 3664994 1364209 0 29104086 21209382 7894704 0 10720594 10448773 271821 0 MEDICAL SUPPLIES 55662609 55662609 0 0 BAD DEBT EXPENSE 19384996 19384996 0 0 REPAIR/MAINT 5456156 3976132 1480024 0 EQUIPMENT RENTAL 816936 595336 221600 0 2454412 1788679 665733 0 447690339 380750609 66939730 0 65866140 18990182 41645866 47515583 0 0 0 0 7838341 7861324 440858 1751789 607697355 346001442 252441729 261695913 97094000 118963000 114511837 81791225 0 129937230 94369462 709776001 632938478 44788092 49958371 121677 121677 0 0 298896817 235680266 343806586 285760314 353672288 335934945 12297127 11243219 365969415 347178164 709776001 632938478 X 52817287 -46818105 -24790433 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 16859 16859 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The organization pays membership dues to the Maryland Hospital Association (MHA) and the American Hospital Association (AHA). MHA and AHA engage in many support activities including lobbying and advocating for their member hospitals. The MHA and AHA reported that 2.52% and 26.47% of member dues were used for lobbying purposes and as such, the organization has reported this amount on Schedule C, Part II-B as lobbying activities. 602544 602544 379856285 175339878 204516407 0 0 0 196958213 165410994 31547219 30280313 5250570 25029743 261695913 OTHER INVESTMENTS 81791225 F 81791225 DEBT SERVICE AND CONSTRUCTION 43334817 OTHER RECEIVABLES 2311787 LT Assets 2737546 Due From Affiliates 34742093 Economic Interest In BWMC Foundation 11243219 94369462 DUE TO AFFILIATES 196662813 ADVANCES - THIRD PARTY PAYORS 29399834 OTHER LIABILITIES 2927802 CAPITAL LEASE 3860617 FINANCING LEASE 2829200 235680266 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE ORGANIZATION IS A SUBSIDIARY OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (THE CORPORATION). THE CORPORATION ADOPTED THE PROVISIONS OF ASC 740, ACCOUNTING FOR UNCERTAINTY IN THE INCOME TAXES (FIN 48) ON JULY 1, 2007. THE FOOTNOTE RELATED TO ASC 740 IN THE CORPORATION'S AUDITED FINANCIAL STATEMENTS IS AS FOLLOWS: THE CORPORATION FOLLOWS A THRESHOLD OF MORE-LIKELY-THAN-NOT FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX LIABILITIES OR BENEFITS THAT SHOULD BE RECOGNIZED. true true true X true X true true false true true 5153801 0 5153801 0.0120 0 0 0 0.0 0 0 0 0.0 0 0 5153801 0 5153801 0.0120 1070700 0 1070700 0.0025 916770 0 916770 0.0021 29773771 21010070 8763701 0.0205 0 0 0 0.0 399389 0 399389 0.0009 0 0 32160630 21010070 11150560 0.0260 0 0 37314431 21010070 16304361 0.0381 0 0.0 3940 0 3940 0.0000 921 0 921 0.0000 0 0.0 0 0.0 5607 0 5607 0.0000 0 0.0 0 0.0 0 0.0 0 0 10468 0 10468 0.0000 true 16192287 0 157325595 140915077 16410518 X true true 1 1 BALTIMORE WASHINGTON MEDICAL CENTER 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 www.umms.org/bwmc 02-015 X X X A A 1 false false true X X X X X X X X X 21 true true true true X www.umbwmc.org/community/assessment-plan X X true 21 true www.umbwmc.org/community/assessment-plan false true X 200.0 300.0 X X X X X true true X X X true X https://www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance X https://www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance X https://www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - BALTIMORE WASHINGTON MEDICAL CENTER, INC.. The CHNA used quantitative and qualitative methods and was designed to be as comprehensive as possible. No written comments on the previous CHNA were received to be incorporated into this CHNA. A community meeting sponsored by the Healthy Anne Arundel Coalition to discuss and prioritize the CHNA findings was attended by approximately 60 community members. Including county residents, business leaders, and community organizations. UM BWMC remains committed to assessing ongoing community trends and uses additional data compiled and available from public sources including but not limited to, United States Census Bureau, Maryland State Health Improvement Plan, Maryland Vital Statistics data, CDC Wonder database, Anne Arundel County Department of Health Report Card, and Anne Arundel County Public School System data. UM BWMC uses our Community Health Needs Assessment (CHNA) and internal data to continually assess ongoing trends and occurring locally, and address those needs on an ongoing basis. The Anne Arundel County Department of Health assisted with secondary data analysis, with the quantitative portion of the CHNA consisting of a data from local, state and federal data sources. This data also includes information from hard to reach portions of the population, such as domestic violence victims and homeless individuals. While much of the data on these subpopulations primarily came from police reports, Emergency Department (ED) data, and the public school system, focus groups and key informant interviews were used to solicit the thoughts and opinions of diverse Anne Arundel County residents including homeless youth, victims of violence, health care providers, social service providers and community leaders. Focus groups and key informant interviews were used to solicit the thoughts and opinions of diverse Anne Arundel County residents, health care providers, social service providers and community leaders. A total of eleven focus groups were conducted. The groups included representation from: UM BWMC and Luminis Health Anne Arundel Medical Center Emergency Department, Anne Arundel County Emergency Response personnel, low-income youth from public housing, behavioral health providers, domestic violence and sexual assault victims, senior citizens, Hispanic community members, human services providers and advocates, early childhood advocates, community health providers, aging and disabilities providers, Anne Arundel County Public Schools Pupil Personnel workers, Anne Arundel County Health Department senior staff, and criminal justice system representatives. The twenty-six informants that provided qualitative data for the report include: CEO, Luminis Health Anne Arundel Medical Center; CEO, University of Maryland Baltimore Washington Medical Center; Executive Director, Anne Arundel County Mental Health Agency; Director, Anne Arundel County Crisis Response; Clinical Director, Anne Arundel County Mental Health Agency; Domestic Violence Coordinator, Luminis Health Anne Arundel Medical Center; Director, Department of Social Services; Director, Anne Arundel County Department of Aging and Disabilities; Anne Arundel County Chief of Police; Executive Director, Community Health Agency; Executive Director, YWCA of Annapolis and Anne Arundel County; Executive Director, Alternate Education - Anne Arundel County Public Schools; Director, Anne Arundel County Transportation; Anne Arundel County Executive; Superintendent, Anne Arundel County Public Schools; Anne Arundel County Administrative Officer; County legislative leader; middle school ambassador; three domestic violence victims; Hispanic community leader; faith leader; public housing residents; formally homeless youth The joint Anne Arundel County CHNA that was conducted with other county organizations, provided a detailed profile of Anne Arundel County and illustrated the social determinants of health that impact residents. This report contains detailed narratives, tables, graphs and maps. Where possible, comparisons were made to state and national data, and data was extracted by age, gender, race, ethnicity, and zip code. UM BWMC then used the joint Anne Arundel County CHNA to develop a detailed hospital CHNA with additional commentary and analysis specific to UM BWMC and the community we serve. When using the CHNA data to determine the hospital's community benefit priorities, UM BWMC consulted with the medical center's administrative and clinical leadership, state and local health and social service officials, other health care providers and community members. UM BWMC's community health improvement priorities align with the Maryland State Health Improvement Process and the priorities of our local health improvement coalition, the Healthy Anne Arundel Coalition. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - BALTIMORE WASHINGTON MEDICAL CENTER, INC.. THE OTHER HOSPITAL FACILITY WITH WHICH THE REPORTING HOSPITAL FACILITY CONDUCTED ITS CHNA IS: - Luminis Health Anne Arundel Medical Center Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - BALTIMORE WASHINGTON MEDICAL CENTER, INC.. Anne Arundel County Department of Health Anne Arundel County Mental Health Agency, Inc. Anne Arundel County Partnership for Children, Youth and Families Community Foundation of Anne Arundel County Healthy Anne Arundel Coalition YWCA of Annapolis and Anne Arundel County Schedule H, Part V, Section B, Line 7 Facility A, 1 Facility A, 1 - BALTIMORE WASHINGTON MEDICAL CENTER, INC.. UM BWMC's CHNA report is made widely available to the public. The CHNA is posted on the hospital's web site at www.umbwmc.org/community/assessment-plan. This link allows the viewer to download the UM BWMC Community Health Needs Assessment report that summarizes the Anne Arundel County Community Health Needs Assessment and prioritizes the identified community health needs. The Anne Arundel County Community Health Needs Assessment is also available for download. Paper copies of CHNA documents are available upon request. The Healthy Anne Arundel Coalition helped to make the Anne Arundel County CHNA report widely available to the public. The Healthy Anne Arundel Coalition hosted a meeting in February 2019 to present and discuss the countywide CHNA findings. Approximately sixty area professionals and community members attended. A website was developed to share the county-wide CHNA results (www.aahealth.org/chna) and it was promoted on the Coalition Facebook page. Other Coalition members also used their websites and social media to promote the release of the CHNA and key findings. Additionally, a press release was issued and generated several news stories. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - BALTIMORE WASHINGTON MEDICAL CENTER, INC.. UM BWMC remains committed to assessing ongoing community trends and uses data compiled and available from public sources including but limited to, United States Census Bureau, Maryland State Health Improvement Plan, Maryland Vital Statistics data, CDC Wonder database, Anne Arundel County Department of Health Report Card, and Anne Arundel County Public School System data. In addition to current UM BWMC hospital data. While conducting this CHNA, UM BWMC took a multi-pronged approach to reviewing data with hospital faculty allowing for prioritization of our local community health needs, and development of a comprehensive Community Benefit Implementation Plan with strategies to address the significant needs identified in the CHNA. This approach helped to assure that our Community Benefit Implementation Plan addresses the most significant needs identified in the CHNA, while also being aligned with UMMS community health improvement initiatives, and national, state and local public health priorities. The plan was also developed to be responsive to Maryland's health system transformation, included the increase focus on population health and community partnerships. This approach also helped to assure that we had the necessary infrastructure and resources to successfully implement our Implementation Plan. Our planning process resulted in the following community benefit strategic priorities being identified for UM BWMC's FY2020-2022 Community Benefit Implementation Plan. These priorities include: Chronic Health Conditions (Cancer, Cardiovascular Disease, Diabetes, Obesity/Overweight, and Chronic Lower Respiratory Diseases); Behavioral Health; Maternal and Child Health; Health Care Access and Utilization; and Healthy and Safe Social Environments. An overarching theme in this CHNA is the reduction of health disparities among vulnerable populations. UM BWMC's FY2020-2022 Community Benefit Implementation Plan can be downloaded from www.umbwmc.org/community/assessment-plan. It provides an overview of community benefit at UM BWMC, a summary of the CHNA, the process used to prioritize community health needs, and a description of the goals, strategies, key partners, and intended outcomes for each of our identified community benefit priorities. UM BWMC focuses the majority of our community benefit resources on our identified implementation strategies, as these areas are important to the health of the community, and UM BWMC has the expertise and resources to support these priorities directly through existing infrastructure. Below are some of the highlights of UM BWMC's FY22 initiatives that support these priorities: Stork's Nest: Stork's Nest is a prenatal education program that offers several sessions a year in English and Spanish. Any pregnant Anne Arundel County resident is eligible to participate; however, the program targets pregnant women at the greatest risk for having poor pregnancy outcomes, specifically African American women, teenagers, women of low socioeconomic status, and women with previous poor pregnancy outcomes. Participants earn points by attending classes, going to prenatal care appointments and adopting health behaviors. Participants continue to earn points until their baby turns one year old by attending well-baby checkups. Points can be used to "purchase" pregnancy and infant care items at the Stork's Nest Store until their baby turns 18-months old. In FY22, 53 Anne Arundel County women participated in the Stork's Nest program, with each receiving a pack and play and safe sleep kit (crib sheets, sleep sack, and education materials) to give babies a safe sleep environment in the attempt to reduce sleep related infant deaths in Anne Arundel County. Due to the ongoing COVID-19 pandemic, all classes from July 2021-March 2022 were held virtually, with curbside shopping available for participants to receive needed baby items. Flu Education and Prevention: UM BWMC provide free community flu vaccinations to 400 county residents in FY22. Education and outreach regarding the importance of receiving a influenza vaccine, prevention of disease transmission/self-care, and hand hygiene education was also provided. Mobile COVID-19 Vaccination Program: In FY22, UM BWMC continued to respond to the pandemic by helping to increase access to COVID-19 vaccinations throughout the county. Partnering with different local churches, organizations, community centers, schools, and businesses, UM BWMC provided 1,213 doses of the vaccine through its mobile vaccination program, meeting community members where they are. Community Wellness Day: In April 2022, UM BWMC hosted its first community wellness days. The event welcomed 265 community members to receive free health education, screenings, COVID-19 vaccinations, free fresh produce boxes and free healthy lunches. Free Screening Programs: In FY22, UM BWMC provided a number of free screening opportunities to our most vulnerable residents to provide broader access to health care services. Vascular screenings, which included screenings for carotid artery, peripheral artery disease, and abdominal aortic aneurysm, were provided to 185 community members over the age of 55. A breast cancer screening, that included both a clinical exam and mammograms were provided to 20 women. Physician Subsidies: Subsidies for behavioral health - including addiction medicine and inpatient psychiatric care, primary and senior care, diabetes care, women's health services, cardiology, pulmonary, Transitional Care Center, and emergency services of emergency department care in urology, general surgery, orthopedic surgery, neuro surgery, as well as services for victims of crimes in our emergency department, are all subsidized services to ensure access to care in our community. The need for these services is documented in our CHNA report. UM BWMC is committed to support the advancement of community health initiatives identified through the CHNA, and while many priorities are beyond the scope of what UM BWMC can provide, we will provide resources in the following areas as feasible. Affordable dental services: While UM BWMC does not have a dental clinic or routine dental care at this time, we do refer patients to low-cost clinics for care. We subsidized oral surgery on-call services and have oral surgeons on our medical staff. UM BWMC partners with the Anne Arundel County Health Department to divert dental patients presenting in the ED to providers in the community. Care coordination will be provided to prevent repeat ED visits. Environmental health concerns: Environmental health concerns are being addressed by the Anne Arundel County Health Department's Bureau of Environmental Health Services and other local environmental advocacy organizations. Public Transportation: While public transportation and bus line access is not in the scope of services that UM BWMC can provide, it is being addressed by County and State officials. UM BWMC does provide some transportation assistance to patients and participants of classes. Lyft, Uber, bus tokens, and taxi fees are covered for some patients in need through our Care Management Program. This program also helps to cover the cost of transportation assistance to rehabilitation and care facilities. We also provide transportation to participants in our Stork's Nest pre-natal education program. Other needs identified in the CHNA include affordable housing, homelessness, and gun violence. UM BWMC will support these priorities through participation in economic development initiatives and community building activities, and health profession training designed to help improve the socioeconomic climate and overall wellbeing of individuals and the local community. Through the initiatives mentioned above as well as those outlined in the CHNA Implementation Plan, UM BWMC is addressing each of the prioritized needs identified in its most recent CHNA. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - BALTIMORE WASHINGTON MEDICAL CENTER, INC.. THE FINANCIAL ASSISTANCE POLICY EXPLAINS SEVERAL ELIGIBILITY CRITERIA, INCLUDING PARTICIPATION IN MEDICAID/MEDICARE PROGRAMS AS WELL AS ELIGIBILITY UNDER VARIOUS STATE REGULATIONS. IN ADDITION TO FPG, THE INCOME LEVELS DEFINED BY THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MD DHMH) ARE USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE MD DHMH INCOME LEVELS ARE MORE GENEROUS THAN THE FPG INCOME LEVELS. 0 Schedule H, Part I, Line 3c CRITERIA FOR FREE OR DISCOUNTED CARE BWMC IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. IN ADDITION TO FPG, THE INCOME LEVELS DEFINED BY THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MD DHMH) ARE USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE MD DHMH INCOME LEVELS ARE MORE GENEROUS THAT THE FPG INCOME LEVELS. THE FAP ALSO USES A FINANCIAL HARDSHIP THRESHOLD WHEN DETERMINING ELIGIBILITY. A PATIENT WITH MEDICAL DEBT EXCEEDING 25% OF FAMILY ANNUAL HOUSEHOLD INCOME MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. Schedule H, Part I, Line 6b RELATED ORGANIZATION REPORT THE ORGANIZATION ANNUALLY FILES A COMMUNITY BENEFIT REPORT AS REQUIRED BY THE MARYLAND HSCRC. THE REPORT CAN BE FOUND AT HTTPS://HSCRC.STATE.MD.US/PAGES/INIT_CB.ASPX. Schedule H, Part VI, Line 4 Community Information The following is a summary description of the community that UM BWMC serves as described in our Community Health Needs Assessment and Community Benefit Implementation Plan. A more detailed description, including maps and data tables, can be found in our full CHNA report available at www.umbwmc.org/community/assessment-plan. UM BWMC considers our Community Benefit Service Area (CBSA) to be the Anne Arundel County portions of our primary and secondary service area as defined by our Global Budget Revenue Agreement with the Maryland Health Services Cost Review Commission. These zip codes include: 21060- Glen Burnie, 21061- Glen Burnie, 21122- Pasadena, 21144- Severn, 21225- Brooklyn Park, 21054- Gambrills, 21076- Hanover, 21090- Linthicum Heights, 21108- Millersville, 21113- Odenton, 21146- Severna Park. The primary service area surrounding UM BWMC where most of our discharges originate has some of the most vulnerable, high-risk residents in Anne Arundel County based on socioeconomic and health data. We make concerted efforts to reach vulnerable, at-risk populations, including uninsured, racial/ethnic minorities, persons with risky health behaviors (e.g. smoking), and people with chronic health conditions (e.g. diabetes, cancer). Zip codes in our secondary service area have more localized pockets of community health needs. According to 2016 census estimates, the Anne Arundel County population is 537,656. The Hispanic population in Anne Arundel County is growing more significantly than all races/ethnicities, increase 205% from 2000-2016. Currently, 13.4% of Anne Arundel's population is age 65 and older. This portion of the population is expected to increase until 2030. As such, seniors will have an increasing impact on county services, supports, resource allocation, and health care use. The number of Medicare beneficiaries is rising in the county as a result of the growing senior population. The county has severed about 3,000 new beneficiaries in the last three years. The number who are eligible for Medicaid, dur to low income, rose from 10.9 percent to 11.3 percent in three years. The income gap between rich and poor in the county has widened since 2010. Anne Arundel County's median household income is $99,652, which is 19% higher than Maryland and 65% more than the nation. Poverty is concentrated in the northern (near UM BWMC) and southern portions of the county. The highest percentage of poverty is in the zip code that contains Brooklyn Park, 21225, at a staggering 27.3 percent, followed by Curtis Bay. Both are areas that border Baltimore City. Social determinants of health can impact individuals and community health. Social determinants of health include race and ethnicity, employment status and income level, education, housing quality, neighborhood safety, family and social supports, and sense of community and belonging. Many demographic and health indicators associated with poorer health status and outcomes are found in the northern (near UM BWMC) and southern portions of the county, and parts of Annapolis. When patterns of hospitalizations and emergency department visits are examined by zip code, they generally reflect the social determinants illustrated above. Zip code 21225, which contains Brooklyn Park, has the highest hospitalization and emergency department visits in the county. There are a variety of needs concerning social determinants of health. There is a lack of public transportation throughout Anne Arundel County, and the operating bus routes have limited hours. This is especially an issue for the county's low-income and elderly residents. Limited transportation affects residents' ability to access health care services and their educational and employment options. Thirteen percent of county residents live in areas considered food deserts and don't have access to healthy eating options which contributes to higher levels of obesity and associated chronic health conditions such as diabetes. Affordable, quality child care is in scarce supply. There is limited affordable housing in the county, and homelessness has been increasing. The amount of money spent on housing limits the funds available for meeting other personal needs, including health care, health food, and opportunities for physical activity and recreational activities that could reduce weight and stress. Anne Arundel County is served by two major hospitals: University of Maryland Baltimore Washington Medical Center (UM BWMC) and Luminis Health Anne Arundel Medical Center (AAMC) in Annapolis. MedStar Harbor Hospital, which is located just north of the county line in Baltimore City, also serves county residents. However, the medical-surgical services available at Harbor Hospital have been declining over recent years, although an inpatient Behavioral Health service was added. Additionally, there are four Federally Qualified Health Centers (FQHCs) that service county residents: Chase Brexton Health Care (Glen Burnie), Total Health Care (Odenton), Family Health Centers of Baltimore (Brooklyn), and Bay Community Health (West River area in South County). Chase Brexton Health Care is located across the street from UM BWMC and we have a formal partnership agreement with them. We also collaborate with Total Health Care. The Anne Arundel County Department of Health offers a range of physical and behavioral health services at multiple clinic sites throughout the county. The Anne Arundel County Mental Health Agency, Inc. provides a wide range of mental health services to Medicaid recipients and other low-income and uninsured county residents who meet certain criteria. Other health care services available in the county include primary care practices, outpatient specialty care, community clinics, urgent care facilities and retail store-based health clinics. Many providers of health care offer financial assistance. All hospitals in Maryland have financial assistance policies that provide medically necessary services to all people regardless of their ability to pay. Depending on their circumstances, patients can receive coverage for up to 100% of their medically necessary care. Payment plans are also available. FQHCs, community clinics and governmental providers offer services on a sliding scale or free basis. Assistance with enrolling in publicly funded entitlement programs and health insurance plans through the state health benefit exchange are available from the hospitals, county health departments, social service agencies and the Maryland Health Connection. However, it is important to note that note all health care providers, particularly behavioral health providers, accept all insurance plans or self-pay patients. In Maryland, under the Affordable Care Act (ACA), persons whose income is up to 138% of the poverty level are eligible for Medicaid. The number of Medicaid enrollments increased from 84,616 in 2014 to 93,425 in May 2018, a 10 percent increase. However, there are still many primary care providers who do not accept Medicare/Medicaid. In addition, a small percentage of county residents such as undocumented people and those not enrolled in Medicaid despite being eligible, will remain uninsured. Access to primary care physicians, dentists, and mental health services are demonstrated needs within the county. Having a primary care provided reduces nonfinancial barriers to obtaining care, facilitates access to services, and increases the frequency of contacts with health care providers. Without a primary care provider, people have more difficulty obtaining prescriptions and attending necessary appointments. In 2016, 9.6 percent of emergency department visits were by uninsured residents. Although not all visits to the emergency department are avoidable, care in lower level settings for some conditions, such as diabetes and hypertension, can potentially reduce the number of visits, thereby reducing costs and increasing the quality of care. In 2017, there were 59,277 hospital stays in Anne Arundel County; a rate of 104.3 stays per thousand population. The hospitalization rate increased with age from 68.7 hospitalizations per 1,000 population among 0-18 year old's, to 262.5 hospitalizations per 1,000 population among those aged 65 years and over. It should be noted that this data only includes Anne Arundel County residents admitted to hospitals in Maryland. The rate changes depending on zip code. The zip code containing Brooklyn Park, 21225, has the highest rate of hospitalization at 163.9 per 1,000 residents. The Glen Burnie rates are also notable when population density is considered. These three zip codes are in UM BWMC's primary service area. Lack of access to primary care, multiple health issues presenting at the same time, poverty, unhealthy food and lack of medication management were reasons given for the high rates. Schedule H, Part VI, Line 4 Community Information Cont In 2016, there were 4,380 deaths in Anne Arundel County, and life expectancy was 79.6 years. Accidental (unintentional injury) deaths rose to the fourth leading cause of death, driven by increases in opioid overdose deaths. Cancer was the leading cause of death, although this number has seen a 1 percent decrease since 2013. Overweight and obesity continue to drive poor health outcomes from the county, including secondary issues such as diabetes. Diabetes was the sixth leading cause of death. Heart disease accounts for 22 percent or 974 of all county deaths as of 2016. That number has risen almost 10 percent since 2013. Age-adjusted rates for coronary heart disease decreased for African American/Black and White residents between 2013 and 2016. While the Black population still has the highest death rates in the county per 100,000 residents, that number decreased by 18 percent in just three years. The decrease for White residents was only 8 percent. Several chronic somatic health conditions were identified in the CHNA as community health needs including cardiovascular disease, cancer, diabetes, and respiratory disease. Overweight and obesity are risk factors for many chronic health conditions, and was also identified as a community health problem. Overweight and obesity are determined using weight and height to determine BWI or "body mass index" measure. Between 2012 and 2016, the percent of overweight adults aged 18 and over with a body mass index of 25 to 29.9, rose slightly from 36.7 to 37.2 percent, while the state average fell. The percent of county residents who are classified as obese and have a body mass index of 30 and over, also rose from 27 to 31 percent, as did the state average. Many factors play a role in weight including being of a lower income, lifestyle, surrounding environment, access to health foods, genetics, and certain diseases. Obesity is prevalent in low income families in the county for a variety of reasons: their neighborhoods often lack full-service grocery stores and farmer's markets, healthy food can be more expensive, there is a lack of transportation to get to a grocery store, there is a greater availability of fast food restaurants that are selling cheap and filling food, and there are fewer recreational facilities for exercise. Many of the streets in these neighborhoods also tend to be unsafe and have little for children to do. Smoking is associated with an increased risk of heart disease, stroke, lung and other types of cancers, and chronic lung disease (Centers for Disease Control, 2018). The rate of adult tobacco use has continued to drop in the country and now is equal to the state and less than the nation. According to the 2016 Middle School Risk Behavior Survey, cigarette smoking by Anne Arundel Middle School students is trending significantly downwards. However, many participants commented on the increased use of e-cigarettes and vaping, in and outside of the school gates. UM BWMC clinical staff have identified cardiovascular disease, cancer, diabetes, and respiratory disease as a particular concern to the UM BWMC service area. This diagnosis has a significant contribution to emergency department utilization, hospital admissions, and hospital readmissions. Co-morbid chronic conditions are common in the hospital's patient population. The rise in behavioral health issues for every age group, and the lack of appropriate services and service providers (e.g. psychiatrists, crisis beds, residential services), were the major concern for all participants in the CHNA. These issues are exacerbated by providers who don't accept Medicaid and Medicare, and patients with inadequate health insurance, or no insurance at all. Participants in the CHNA focus groups shared many opinions as to why mental health issues are increasing including, poverty, isolation, social media, increasing societal violence, the fast pace of technology and the reduction of stigma around mental health services. The county's hospital emergency departments are often the receiving facilities for behavioral health issues. In 2017, there were 12,446 behavioral health encounters; mood disorders accounted for 26.3 percent of encounters, and over 38 percent were alcohol or substance abuse related. Increased behavioral issues in the birth to five early childhood population are causing widespread concern in every system. Behavioral problems in children as young as two years old are disrupting child care facilities including Early Head Start and Head Start. Professionals are divided as to the cause of this increase but they all agree that this is a new phenomenon unrelated to income. Many suggested the use of social media by parents and young children is leading to huge deficits in social and emotional skills. Some serious mental health issues are surfacing earlier; often co-occurring with developmental issues such as autism. The number of crisis interventions in the public school system for social and emotional issues has doubled since 2013, reaching close to 5,000 during the 2016-2017 school year. As of 2016, the Anne Arundel County youth suicide rate was 7.8 per 100,000, an increase compared to the rate of 5.3 per 100,000 in 2012. The Centers for Disease Control and Prevention (CDC) estimates that for each youth suicide, there are 25 suicide attempts. Between 2012 and 2016, there were 1,306 emergency department encounters in Maryland hospitals for suicide attempts by Anne Arundel County youth aged 0-24 years, and average of 261 per year. It was noted in the CHNA focus groups that the constant access to electronic information, devices, and social apps like Instagram and Snap Chat, is impacting every age group and demographic with increases in bullying, suicide, and suicide ideation for youth. Prescription opioid addiction is now a major public health crisis. Although Anne Arundel County is the fifth largest county in the state in terms of population, it has the third highest rate of prescription opioid related deaths as of 2017. In 2017, Anne Arundel County police reported almost 1,100 opioid-related overdoses occurring, a 171 percent increase since 2014. The rate of fatal overdoses continues to increase, driven by the introduction of fentanyl into the community. Fentanyl-related deaths in the county have increase significantly since 2013 and surpassed heroin related deaths through 2017. As with many other county issues, geography plays a part with the majority of overdoses occurring in the northern portion of the county and Annapolis. The infant mortality rate in Anne Arundel County between 2010 and 2014 was 5.5 deaths per 1,000 live births, which is lower than both the United States and Maryland rates during the same period. Although the overall infant mortality rate is lower for the county than the state average, disparities exist when stratifying the data by race and ethnicity. Black infants have the highest infant mortality rate in the county (11.2 deaths per 1,000 live births) compared to 5.3 deaths and 4.0 deaths per 1,000 births for Hispanic and White infants respectively. Low birth weight (LBW), defined as less than 2,500 grams) is the single most important factor affection neonatal mortality (newborn infants up to 28 days old) and a significant determinants of post neonatal mortality (infant between 28 and 364 days old). Infants who are born at a LBW run the risk of developing health issues ranging from respiratory disorders to neurodevelopmental disabilities. In Anne Arundel County, the percentage of LBW babies is dropping slowly and is less than the sate average at 8.7%. However, there are several zip codes concentrated in the northern part of the county where the percentages of LWB infants is much higher than the overall county average of 7.9%, especially in Brooklyn, Severn, Laurel, Glen Burnie (West), Hanover, Millersville, and Jessup. Five of these zip codes are within the UM BWMC primary service area. Anne Arundel County Police Department tracks domestic violence statistics. The data shows an upward trend although there was a dip in numbers for the 2015-2016 year. In the first six months of 2018, there were just over 1,000 assaults, which confirms the police, schools, and hospital personnel who identified a notable increase in domestic violence over the same period. The CHNA also identified a rise in youth gang activity, particularly in the Annapolis area and the western part of the county. Schedule H, Part VI, Line 4 Community Information Cont In 2018, the county's Child Advocacy Center investigated 326 sexual abuse cases, of which seven were for sexual assault. The 50-mile radius surrounding BWI airport is becoming known as the third-most-lucrative area in the nation for trafficking in people (Maryland Human Trafficking Taskforce, 2018). Anne Arundel County Police Department tracks the number of sex trafficking incidents in the county. While the numbers were stable between 2015 and 2017, data for the first 6 months of 2018 are showing an almost 100 percent increase in cases with 18 cases during that timeframe. UM BWMC has identified and treated sex trafficking victims in its emergency department. In the 2016 State of the Bay Report from the Chesapeake Bay Foundation, it showed that each of the three indicator categories - pollution, habitat, and fisheries have improved since 2014. However, despite many efforts by federal, state, and local governments and other interested parties, pollution in the Bay does not meet existing water quality standards. All of the county's waterways are considered "impaired" because of excessive levels of major contaminants, which are largely a result of untreated storm water runoff. Air quality is another issue for the county. Anne Arundel was given an F by the American Lung Association in 2018 for an average of 13 high ozone days, a reduction from the 2013 rate of 23 days. High ozone causes respiratory harm (e.g. worsened asthma, worsened COPD, inflammation) and can cause cardiovascular harm (e.g. heart attacks, strokes, heart disease, congestive heart failure) and may cause hard to the central nervous system. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 19384996 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. Additionally, net revenues for Medicaid should reflect the full impact on the hospital of its share of the Medicaid assessment. Schedule H, Part II Community Building Activities Through a variety of community building activities, UM BWMC promotes health and wellness in the community that it serves. These activities include community support, coalition building, and community health improvement advocacy. UM BWMC provides leadership to many community collations and collaborative partnerships to improve community health and health care access. UM BWMC is an active participant in the Healthy Anne Arundel Coalition. This coalition is a partnership of public sector agencies, health care providers and payers, community-based partners, the business community and academic institutions, as well as community members that are advocating for better health. Other community coalitions that UM BWMC plays and active role in include: Conquer Cancer Coalition, Fetal and Infant Mortality Review Team, Fort Meade Alliance, Community of Hope Brooklyn Park, YWCA, Anne Arundel County Multi-D for Substance Exposed Newborns, Anne Arundel County Guardianship Review Board, Judy Center Steering Committee, and Glen Burnie Revitalization Task Force. All of these committees and coalitions are collaborative efforts to address health issues and advocate for policies and programs that improve the health in the communities that we serve. In FY22, UM BWMC continued its response to the COVID-19 pandemic with helping to increase access to vaccinations in the county. Partnering with different community organizations, community centers, local churches, schools, and businesses, UM BWMC provided 1,213 doses of vaccine through its mobile vaccination program. Meeting community members where they were and reducing the barrier of transportation. UM BWMC also able to disburse 400 doses of flu vaccine into the community at free vaccination clinics held throughout Anne Arundel County. Through work with community partners such as Advanced Radiology, UM BWMC was able to provide 20 free clinical breast exams and mammograms to women in Anne Arundel County that were under or uninsured, and provide appropriate follow up care at low or no cost for women that needed additional testing. Throughout FY22, UM BWMC supported the ongoing needs of the community by working with the University of Maryland Medical System and the Let's Talk About Health Series, to offer monthly education sessions that ranged in topic fall's prevention and healthy aging, to long-COVID and pharmacy and medication management. All presentations are an effort to increase access to reliable and accurate health information, and to increase health literacy and communication with individuals health care providers using the Ask Me 3 program - what is my main problem, what do I need to do, what is it important for me to do this. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) STARTED SETTING HOSPITAL RATES IN 1974. AT THAT TIME, THE HSCRC APPROVED RATES APPLIED ONLY TO COMMERCIAL INSURERS. IN 1977, THE HSCRC NEGOTIATED A WAIVER FROM MEDICARE HOSPITAL PAYMENT RULES FOR MARYLAND HOSPITALS TO BRING THE FEDERAL MEDICARE PAYMENTS UNDER HSCRC CONTROL. IN 2014, MARYLAND'S WAIVER WITH MEDICARE WAS RENEGOTIATED AND UPDATED TO REFLECT THE CURRENT HEALTHCARE ENVIRONMENT. UNDER THIS NEW WAIVER, SEVERAL CRITERIA WERE ESTABLISHED TO MONITOR THE SUCCESS OF THE SYSTEM IN CONTROLLING HEALTHCARE COSTS AND THE CONTINUANCE OF THE WAIVER ITSELF: 1. REVENUE GROWTH PER CAPITA 2. MEDICARE HOSPITAL REVENUE PER BENEFICIARY 3. MEDICARE ALL PROVIDER REVENUE GROWTH PER BENEFICIARY 4. MEDICARE READMISSION RATES 5. HOSPITAL ACQUIRED CONDITION RATE Schedule H, Part III, Line 3 Bad Debt Expense Methodology BECAUSE OF THE UNIQUE PAYMENT SYSTEM DESCRIBED ON LINE 2 (ABOVE), THE HOSPITAL IS UNABLE TO ESTIMATE HOW MUCH OF THE AMOUNT REPORTED IN LINE 2 IS ATTRIBUTED TO PATIENTS WHO WOULD APPLY UNDER THE FAP. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE CORPORATION RECORDS REVENUES AND ACCOUNTS RECEIVABLE FROM PATIENTS AND THIRD-PARTY PAYORS AT THEIR ESTIMATED NET REALIZABLE VALUE. REVENUE IS REDUCED FOR ANTICIPATED DISCOUNTS UNDER CONTRACTUAL ARRANGEMENTS AND FOR CHARITY CARE. AN ESTIMATED PROVISION FOR BAD DEBTS IS RECORDED IN THE PERIOD THE RELATED SERVICES ARE PROVIDED BASED UPON ANTICIPATED UNCOMPENSATED CARE, AND IS ADJUSTED AS ADDITIONAL INFORMATION BECOMES AVAILABLE. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD EBTS AND TO ESTABLISH AN ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER COLLECTION OF AMOUNTS DUE FROM INSURERS, THE CORPORATION FOLLOWS INTERNAL GUIDELINES FOR PLACING CERTAIN PAST DUE BALANCES WITH COLLECTION AGENCIES. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR BAD DEBTS, ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, PROVISION FOR BAD DEBTS, AND CONTRACTUAL ADJUSTMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS OR WITH BALANCES REMAINING AFTER THE THIRD-PARTY COVERAGE HAD ALREADY PAID, THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTOICAL COLLECTIONS, WHICH INDICATES THAT MANY PATIENTS ULTIMATELY DO NOT PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE ORGANIZATION FILES ANNUALLY A COMMUNITY BENEFIT REPORT WITH THE STATE OF MARYLAND'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). THE HSCRC, WHICH OPERATES UNDER A MEDICARE WAIVER, DOES NOT CONSIDER MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED BY THE ORGANIZATION IS A COST-TO-CHARGE RATIO. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE ORGANIZATION EXPECTS PAYMENT AT THE TIME THE SERVICE IS PROVIDED. OUR POLICY IS TO COMPLY WITH ALL STATE AND FEDERAL LAW AND THIRD PARTY REGULATIONS AND TO PERFORM ALL CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER. EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION DOES NOT DISCRIMINATE ON THE BASIS OF AGE, RACE, CREED, SEX OR ABILITY TO PAY. PATIENTS WHO ARE UNABLE TO PAY MAY REQUEST A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME PRIOR TO SERVICE OR DURING THE BILLING AND COLLECTION PROCESS, EVEN IN EXCESS OF 240 DAYS FOLLOWING THE FIRST POST-DISCHARGE BILLING STATEMENT. THE ORGANIZATION MAY REQUEST THE PATIENT TO APPLY FOR MEDICAL ASSISTANCE PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE. THE ACCOUNT WILL NOT BE FORWARDED FOR COLLECTION DURING THE MEDICAL ASSISTANCE APPLICATION PROCESS OR THE FINANCIAL ASSISTANCE APPLICATION PROCESS. NO EXTRAORDINARY COLLECTION ACTIONS (ECAS) WILL OCCUR EARLIER THAN 120 DAYS FROM SUBMISSION OF FIRST BILL TO THE PATIENT AND WILL BE PRECEDED BY NOTICE 30 DAYS PRIOR TO COMMENCEMENT OF THE ACTION. AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE COMMUNICATED TO THE PATIENT AND A PRESUMPTIVE ELIGIBILITY REVIEW WILL OCCUR PRIOR TO ANY ACTION BEING TAKEN. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AFTER AN ECA IS INITIATED, THE ORGANIZATION WILL TAKE REASONABLE MEASURES TO REVERSE THE ECAS AGAINST THE PATIENT ACCOUNT. Schedule H, Part V, Section B, Line 16a FAP website A - BALTIMORE WASHINGTON MEDICAL CENTER: Line 16a URL: https://www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - BALTIMORE WASHINGTON MEDICAL CENTER: Line 16b URL: https://www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - BALTIMORE WASHINGTON MEDICAL CENTER: Line 16c URL: https://www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment UM BWMC continuously assesses the health needs of the communities it serves. In addition, the CHNA that is conducted every three years, UM BWMC regularly analyzes inpatient, observation and Emergency Department utilization data, and data from affiliated outpatient physician practices. UM BWMC also reviews Anne Arundel County, Maryland and national health data and trends, and receives feedback from the Patient and Family Advisory Council on input to community needs. Additionally, UM BWMC receives feedback into community needs through participation in community coalitions and committees. Some of these coalitions and committees are described in the narrative for Part II. UM BWMC's process for conduction its most recent CHNA is described in detail in Part IV, Section C. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance UM BWMC provides emergency, inpatient, and other care regardless of someone's ability to pay. UM BWMC's financial assistance policy (FAP) was established to assist patients in obtaining financial aid when the services rendered are beyond a patient's ability to pay. A patient's inability to obtain financial assistance does not in any way preclude the patient's right to receive and have access to medical treatment at UM BWMC. UM BWMC's FAP complies with Maryland regulations. UM BWMC's financial assistance policy provides assistance ranging up to 100% of the total cost of hospital services. Physician charges for non-hospital employees, which are billed separately, are excluded from UM BWMC's FAP. Patients are encouraged to contact their physician's directly for financial assistance related to physician charges. UM BWMC's financial assistance application packet is available in English, Spanish, and Korean, consistent with federal regulations for translating documents for Limited-English Proficient (LEP) populations. This packet includes the information and forms needed to apply for financial assistance. For emergency services, applications to the financial assistance program are completed and evaluated after treatment is commenced and the process will not delay patients from receiving necessary emergency and inpatient care. Application materials and additional information about financial assistance program are available at www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance. UM BWMC informs patients and persons who would otherwise be billed for services about their eligibility for assistance under federal, state or local government programs or under the hospital's financial assistance policy in the following manner: 1. UM BWMC prepares its financial assistance information in a culturally sensitive manner, at a reading level appropriate for the service area's population and in English, Spanish, and Korean, the languages prevalent in the UM BWMC's community benefit service area. 2. UM BWMC publishes annual notices informing the public that the financial assistance is available at UM BWMC. The notices are published in the Baltimore Sun, Maryland Gazette and The Capital, the three main newspapers distributed in the UM BWMC's community benefit service area. 3. UM BWMC provides information about its FAP, including downloadable application forms and financial assistance contact information on its website in English, Spanish, and Korean. The website address is www.umms.org/bwmc/patients-visitors/for-patients/financial-assistance. 4. UM BWMC posts information about its FAP and financial assistance contact information in the business office, all admission areas, the emergency department, and other outpatient areas throughout the facility. 5. UM BWMC provides individualized notices regarding the hospital's FAP at the time of preadmission or admission to each person who seeks services at the hospital. 6. UM BWMC provides each patients a patient handbook upon admission that contains information about its FAP and answers to common billing questions. 7. UM BWMC provides information about its FAP and financial assistance contact information in patient bills. 8. UM BWMC contracts with the medical assistance eligibility firm DECO to assist patients with applying for its financial assistance program and other financial assistance programs that may be available to patients for health care services. UM BWMC discusses with patients or their families the availability of various government benefits such as Medicaid and other federal, state, and local programs. Schedule H, Part VI, Line 5 Promotion of community health UM BWMC's mission is to provide the highest quality health care services to the communities that we serve. We extend our services beyond the hospital walls and outside of our campus through partnerships with organizations throughout our community. We are always engaging in new and collaborative ways, enhancing existing partnerships and establishing new ones to meet the needs of the community. We place particular emphasis on reaching vulnerable populations and addressing the health improvement priorities identified through our CHNA. Our community benefit program includes community outreach and health education services to provide people with the education and tools to lead healthier lives, screenings so that people can be diagnosed with diseases early, when they are most treatable, support groups for patients and their families, financial assistance to those who could not otherwise afford health care services, subsidies to increase access to care, health care workforce development, partnership development and other community building activities. As part of our commitment to provide the highest quality of health care services to the communities we serve, UM BWMC is working to ensure patients can receive the right care, at the right place and at the right time. UM BWMC is helping connect community members with medical and social resources to help them be healthier. Our annual operating plan, which is derived from our strategic plan, included a focus on population health and reducing potentially avoidable utilization, specifically related to readmissions. UM BWMC collaborates with numerous external partners for the promotion of community health. UM BWMC works with many county government agencies including the Anne Arundel County Department of Health, Aging and Disabilities, Recreation and Parks, and Social Services, the Office of Community and Constituent Services, and Anne Arundel County Public Schools. We Collaborate with Luminis Health Anne Arundel Medical Center, MedStar Harbor Hospital, Chase Brexton and Total Health Care - Federally Qualified Health Centers, and primary care, behavioral health, specialty and post-acute care providers. Most importantly, we partner with local community and faith-based organizations such as March of Dimes, Maryland Chapter, Safe Sitter, Inc, American Red Cross, American Cancer Society, Judy Center and Belle Grove Elementary, Glen Burnie Improvement Association, Severna Park Community Center, several local businesses and Chambers of Commerce, and numerous churches. In FY22, key health promotion initiatives included: free community flu vaccinations; mobile COVID-19 vaccinations; Stork's Nest prenatal education program for at-risk women; Community Wellness Day; preventing diabetes classes; Red Cross blood drives; support group for cancer patients; therapeutic yoga and exercise classes; Safe Sitter and Safe at Home classes; childbirth education classes; food distributions; and vascular and breast cancer screenings. In addition to the community outreach activities described above, UM BWMC provides support to our community in numerous other ways. We allow community groups to utilize our conference facilities free of charge, as space availability allows. We also make donations to community organizations that have similar missions and goals to UM BWMC, such as the American Foundation for Suicide Prevention, Burgers and Bands, and the Caring Cupboard. We also participate in emergency preparedness planning to assure appropriate health services are available during emergency situations. UM BWMC extends medical staff privileges to qualifying physicians in the community. UM BWMC operates under a unique regulatory system that caps hospital revenues and provides adjustments to allow for population health improvement investments. Under Maryland's global revenue model, UM BWMC reports on a regular basis how it is investing in efforts to improve population health. Schedule H, Part VI, Line 6 Affiliated health care system The University of Maryland Medical System Corporation (UMMS) is a private, not-for-profit corporation providing comprehensive healthcare services through an integrated regional network of hospitals and related clinical enterprises. UMMS was created in 1984 when its founding hospital was privatized by the State of Maryland. Over its 30-year history, UMMS evolved into a multi-hospital system with academic, community and specialty service mission reaching primarily across Maryland. UM BWMC is part of the University of Maryland Medical System (UMMS). We collaborate with other UMMS hospitals to develop and implement activities, programs and initiatives to help Marylanders live healthier lives and to identify the most impactful ways we can give back to communities throughout Maryland. UMMS convenes a bi-monthly Community Health Improvement Committee meeting that includes leaders for community health improvement across the system. There is a roundtable at each meeting to discuss best practices and strategies, program evaluation methodologies, community benefit reporting and other concerns or topics of interest. The Community Health Improvement Committee selects community health concerns that impact all system hospitals and devotes collaborative resources and expertise to addressing those concerns. Schedule H, Part VI, Line 7 State filing of community benefit report MD true Nursing facilities 14 232519 cost Medical equipment 9 16850 cost Medical treatment 1 11000 cost Medication support 15 1035 cost Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. BWMC's Care Management team coordinated directly with community partners to fund specific patient needs. false true false false false false false true false KAREN E OLSCAMP FORMER CEO AND PRESIDENT, UMBWMC 0 252511 0 92800 0 57450 0 10752 0 367 0 413880 0 0 KATHLEEN C MCCOLLUM CEO AND PRESIDENT, UMBWMC 0 448621 0 212640 0 101700 0 11600 0 29489 0 804050 0 0 Mohan Suntha MD PRESIDENT AND CEO, UMMS 0 1855961 0 1215728 0 365286 0 11600 0 29132 0 3477707 0 0 CHIRAG CHAUDHARI MD Director 0 291012 0 167240 0 19500 0 11600 0 20028 0 509380 0 0 ALFRED A PIETSCH SVP AND CFO 0 331857 0 104091 0 68369 0 11600 0 20850 0 536767 0 0 CATHERINE WHITAKER-KLICK Former SVP and CNO 0 264812 0 78122 0 3368 0 5406 0 14572 0 366280 0 0 NEEL VIBHAKAR MD SVP AND CMO 0 427800 0 134612 0 89473 0 11600 0 25355 0 688840 0 0 David G Hunt SVP AND CNO 0 254930 0 81875 0 54748 0 11302 0 29093 0 431948 0 0 JASON CARTER SVP AND COO, UMBWMC 0 63994 0 50000 0 40787 0 16327 0 2395 0 173503 0 0 BRIAN COTTER DIRECTOR PHARMACY 208647 0 26379 0 2479 0 0 0 3923 0 241428 0 0 0 Kimberly Steiner Registered Nurse 199405 0 24540 0 314 0 0 0 597 0 224856 0 0 0 BEVERLY YOUNG DIRECTOR PERIOPERATIVE SERVICES 181560 0 25565 0 2748 0 7373 0 11429 0 228675 0 0 0 Jana S Gelman REGISTERED NURSE 165568 0 33570 0 40 0 0 0 12139 0 211317 0 0 0 Gladys A Moses REGISTERED NURSE 170068 0 36540 0 74 0 6929 0 8259 0 221870 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ALL COMPENSATION TO OFFICERS REPORTED ON PART VII OF THE FORM 990 WAS PAID BY A RELATED ORGANIZATION, THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMS) OR ANOTHER RELATED ENTITY IN THE UMMS SYSTEM. THE FOLLOWING ARE USED BY THE RELATED ENTITY TO ESTABLISH THE COMPENSATION OF ORGANIZATION'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DURING THE FISCAL YEAR-ENDED JUNE 30, 2022, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE VESTED IN THE PLAN IN A PRIOR YEAR, THEREFORE THE CONTRIBUTIONS TO THE PLAN FOR THE FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B (III), OTHER REPORTABLE COMPENSATION: NEEL VIBHAKAR, $59,174 KAREN E. OLSCAMP, $40,320 ALFRED A. PIETSCH, $45,675 KATHLEEN C. MCCOLLUM, $75,410 MOHAN SUNTHA, $342,614 DAVID G. HUNT, $33,905 DURING THE FISCAL YEAR- ENDED JUNE 30, 2022, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UMMS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUAL LISTED BELOW HAS NOT VESTED IN THE PLAN THEREFORE THE ACCRUED CONTRIBUTION TO THE PLAN FOR THE FISCAL YEAR IS REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION: JASON CARTER Schedule J, Part I, Line 7 Non-fixed payments BONUSES PAID ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS AND KEY EMPLOYEES. Form 990, Part III, Line 4a Program Service Accomplishments BWMC is a community hospital with 285 licensed beds. 16,923 patients were admitted in fiscal year ended June 30, 2022, accounting for 80,422 patient days of care. 61,254 patients were treated in the center's emergency department. 9,265 patients required surgical procedures in the center's operating and endoscopy rooms. The medical center employed 3,672 employees in calendar year 2022. The center's mission is to provide quality health care to all, regardless of race, creed, sex, national origin, age, handicap or ability to pay. BWMC also provides numerous free programs and services such as health care seminars, blood pressure and cholesterol screenings, exercise programs, public speaking engagements, etc. The center's facilities are also utilized by many public service groups and organizations throughout the year at no charge. During fiscal year ended June 30, 2022, BWMC provided nearly $6.2 million in community benefits at cost. Form 990, Part IV, Line 24a TAX EXEMPT BONDS PURSUANT TO A MASTER LOAN AGREEMENT DATED DECEMBER 1, 2017 (THE "MASTER LOAN AGREEMENT"), AS AMENDED, UMMS AND SEVERAL OF ITS SUBSIDIARIES HAVE ISSUED DEBT THROUGH THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (THE "AUTHORITY"). AS SECURITY FOR THE PERFORMANCE OF THE BOND OBLIGATION UNDER THE MASTER LOAN AGREEMENT, THE AUTHORITY MAINTAINS A SECURITY INTEREST IN THE REVENUE OF THE OBLIGORS. THE MASTER LOAN AGREEMENT CONTAINS CERTAIN RESTRICTIVE COVENANTS. THESE COVENANTS REQUIRE THAT RATES AND CHARGES BE SET AT CERTAIN LEVELS, LIMIT INCURRENCE OF ADDITIONAL DEBT, REQUIRE COMPLIANCE WITH CERTAIN OPERATING RATIOS AND RESTRICT THE DISPOSITION OF ASSETS. THE OBLIGATED GROUP UNDER THE MASTER LOAN AGREEMENT INCLUDES UMMS, ROI, MGH, UM BALTIMORE WASHINGTON, SHORE HEALTH (UM MEMORIAL AND UM DORCHESTER), UM CHESTER RIVER, UM CHARLES REGIONAL, UM ST. JOSEPH, UM UPPER CHESAPEAKE, UM HARFORD MEMORIAL, UM LAUREL, UM PRINCE GEORGE'S, BOWIE HEALTH CENTER (BOWIE), AND THE UMMS FOUNDATION. EACH MEMBER OF THE OBLIGATED GROUP IS JOINTLY AND SEVERALLY LIABLE FOR THE REPAYMENT OF THE OBLIGATIONS UNDER THE MASTER LOAN AGREEMENT OF THE CORPORATION'S $1,909,376,000 OF OUTSTANDING AUTHORITY BONDS ON JUNE 30, 2022. ALL OF THE BONDS WERE ISSUED IN THE NAME OF UMMS AND ARE REPORTED ON SCHEDULE K OF ITS FORM 990. Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION DID NOT COMPENSATE ITS EXECUTIVES DIRECTLY, BUT RATHER, THE EXECUTIVES RECEIVED COMPENSATION FROM A RELATED ORGANIZATION. ACCORDINGLY, THE ORGANIZATION'S PARENT COMPANY DETERMINES THE EXECUTIVE COMPENSATION PAID TO ITS EXECUTIVES IN THE FOLLOWING MANNER PRESCRIBED IN THE IRS REGULATIONS: EXECUTIVE COMPENSATION PACKAGES ARE DETERMINED BY A COMMITTEE OF THE BOARD THAT IS COMPOSED ENTIRELY OF BOARD MEMBERS WHO HAVE NO CONFLICT OF INTEREST. THE COMMITTEE ACQUIRES CREDIBLE COMPARABILITY MARKET DATA CONCERNING THE COMPENSATION PACKAGES OF SIMILARLY SITUATED EXECUTIVES. THE COMMITTEE CAREFULLY REVIEWS THAT DATA, THE EXECUTIVE'S PERFORMANCE AND THE PROPOSED COMPENSATION PACKAGES DURING THE DECISION MAKING PROCESS. THE COMMITTEE MEMORIALIZES ITS DELIBERATIONS IN DETAILED MINUTES REVIEWED AND ADOPTED AT THE NEXT-FOLLOWING MEETING. THE COMMITTEE SEEKS AN OPINION OF COUNSEL THAT IT HAS MET THE REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS REGULATIONS. THIS PROCESS IS USED TO DETERMINE THE COMPENSATION PACKAGES FOR ALL MANAGEMENT EMPLOYEES FROM THE VICE PRESIDENT LEVEL AND UP. Form 990, Part VI, Line 6 Classes of members or stockholders UNIVERSITY OF MARYLAND BALTIMORE WASHINGTON MEDICAL SYSTEM, INC. (UMBWMS) IS THE SOLE MEMBER OF BWMC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body UMBWMS MAY ELECT ONE OR MORE BOARD MEMBERS OF THE GOVERNING BODY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The following decisions of the governing body are among those subject to the approval of the member: amendment of charter documents; dissolution of the organization; strategic plans; participation in joint ventures; and leases or intercompany transfers of assets, subject to certain dollar thresholds. In addition, the following decisions of the governing body are subject to the approval of the member and UMMS: annual operating and capital budgets; acquisition or disposition of an entity or substantially all assets; merger or consolidation of entity; mortgage, pledge or disposition of property; incurrence of debt or real property, subject to certain dollar thresholds. Form 990, Part VI, Line 11b Review of form 990 by governing body The University of Maryland Medical System ("UMMS") prepares the IRS Form 990 for UMMS and its affiliates. Information needed to complete the return is gathered by accounting personnel in the Finance Shared Services department under the supervision of the UMMS Tax Director. Draft returns are prepared using IRS-approved tax software. Once a draft return is prepared, it undergoes multiple levels of review both internally by UMMS tax & finance personnel, and externally by Ernst & Young LLP. Following any necessary changes to the return, a final draft is reviewed by each affiliate's vice president of finance and/or CFO. Prior to filing the IRS Form 990, the organization's board chairman, treasurer, governance committee, finance committee or other member(s) of the board with similar authority will review the IRS Form 990. All board members are provided with a copy of the final IRS Form 990 before filing. Form 990, Part VI, Line 12c Conflict of interest policy The filing organization follows the University of Maryland Medical System (UMMS) Conflicts of Interest Policy, which requires that all Covered Persons disclose conflicts of interest or potential conflicts of interest between their personal interests and the interests of the organization, or any entity controlled by or owned in substantial part by the organization. Covered Persons means any member of the organization's Board of Directors, a member of a committee of the Board, an officer, or an employee of organization (including subsidiaries) at the VP level or above. The organization (or its sole member) is responsible for administering and enforcing the Conflicts of Interest Policy (Policy). The Governance Committee (or other Board committee having similar authority) reviews any and all conflicts, shall report annually to the full Board on the administration, infractions, and enforcement of the Policy and shall report at the earliest opportunity all matters of concern to the full Board in executive session while interested parties are recused. The organization or its sole member's Compliance Officer is the responsible administrative authority to assist the Board in administering and enforcing the Conflicts of Interest Policy and bringing concerns to the oversight committee. A questionnaire which discloses potential conflicts of interest is distributed annually to Covered Persons. The Chief Compliance Officer of the University of Maryland Medical System Corporation (UMMS) distributes and collects the responses for UMMS and other affiliates, and may be called for consult when potential conflicts are disclosed. If the oversight Committee determines that a Conflict of Interest exists, the Committee shall notify the Covered Person and the organization's Board Chair, and further will notify the full Board at its next meeting. Furthermore, in the event the Committee determines that an actual or perceived Conflict of Interest exists, the Committee shall decide how to address the Conflict of Interest. If the Committee determines that a Conflict of Interest exists but that the organization may enter into the subject transaction or arrangement, the interested Covered Person shall be recused from all deliberations and decisions concerning said transaction or arrangement, any arrangements with that entity, and compensation or benefits for officers, directors, and trustees. Furthermore, the Chair of the Board and the Chairs of the oversight Committee and the Audit and Compliance Committee shall not have any Business Transactions with UMMS, nor shall their Family Members. If the oversight Committee determines that a Covered Person has used their position to accrue Excess Benefits or to knowingly assist others in accruing Excess Benefits in any way at the expense of the organization, the Committee shall recommend to the Executive Committee appropriate corrective action to be taken. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE PUBLICLY AVAILABLE THROUGH THE STATE OF MARYLAND VIA THE SECRETARY OF STATE'S OFFICE. THE CONFLICT OF INTEREST POLICY IS GENERALLY AVAILABLE ON THE ORGANIZATION'S OR AFFILIATE'S WEBSITE. FINANCIAL STATEMENTS ARE MADE PUBLICLY AVAILABLE ON A QUARTERLY BASIS THROUGH FILINGS ON THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") SYSTEM. Form 990, Part VII, Section A HOURS ON RELATED ENTITIES UMMS IS A MULTI-ENTITY HEALTH CARE SYSTEM THAT INCLUDES 13 ACUTE CARE HOSPITALS, 1 ACUTE CARE HOSPITAL OWNED IN A JOINT VENTURE ARRANGEMENT AND VARIOUS SUPPORTING ENTITIES. A NUMBER OF INDIVIDUALS PROVIDE SERVICES TO VARIOUS ENTITIES WITHIN THE SYSTEM. IN GENERAL, THE OFFICERS AND KEY EMPLOYEES OF UMMS AVERAGE IN EXCESS OF 40 HOURS PER WEEK SERVING THE DIFFERENT ENTITIES THAT COMPRISE UMMS. Form 990, Part VII, Section B, Line 1 INDEPENDENT CONTRACTORS INDEPENDENT CONTRACTORS OF THE FILING ORGANIZATION ARE PAID AND REPORTED BY THE PARENT CORPORATION, UMMS. UMMS ISSUES THE FORMS 1099 FOR THESE VENDOR PAYMENTS, WHILE THE FILING ORGANIZATION REPORTS THE EXPENSES FOR ITS INDEPENDENT CONTRACTORS ON PART VII, SECTION B, LINE 1 ON ITS FORM 990. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Misc - Total Revenue: 125328, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 125328; Form 990, Part IX, Line 11g Other Fees SHARED SERVICES - Total Expense: 52524357, Program Service Expense: 52524357, Management and General Expenses: 0, Fundraising Expenses: 0; PHYSICIAN CONTRACT - Total Expense: 23249102, Program Service Expense: 23249102, Management and General Expenses: 0, Fundraising Expenses: 0; TEMP LABOR - Total Expense: 24230148, Program Service Expense: 24230148, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER CONTRACTED SERVICES - Total Expense: 17399397, Program Service Expense: 17384590, Management and General Expenses: 14807, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances EQUITY TRANSFER - -14166107; CHANGE IN BWMC FD NET ASSETS - -1053908; CAPITAL TRANSFER TO AFFILIATES - -617509; Non Operating Swap Expense - -2719000; PENSION ADJUSTMENT - -6233909; BALTIMORE WASHINGTON EMERGENCY PHYS INC 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521756326 HEALTHCARE MD 501(c)(3) Type I BWHS false BALTIMORE WASHINGTON HEALTHCARE SERVICES 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521830243 HEALTHCARE MD 501(c)(3) Type I UMBWMS false UM BALTIMORE WASHINGTON MEDICAL SYSTEM 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521830242 HEALTHCARE MD 501(c)(3) Type I UMMSC false NORTH ARUNDEL DEVELOPMENT CORPORATION 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521318404 REAL ESTATE MD 501(c)(2) NCC false NORTH COUNTY CORPORATION 301 HOSPITAL DRIVE GLEN BURNIE MD 21061 521591355 REAL ESTATE MD 501(c)(2) UMBWMS false CHESTER RIVER HEALTH FOUNDATION INC 100 BROWN STREET CHESTERTOWN MD 21620 521338861 FUNDRAISING MD 501(c)(3) 8 UMSRH false UNIV OF MD SHORE REGIONAL HEALTH INC 100 BROWN STREET CHESTERTOWN MD 21620 522046500 HEALTHCARE MD 501(c)(3) Type I UMMSC false CHESTER RIVER HOSPITAL CENTER 100 BROWN STREET CHESTERTOWN MD 21620 520679694 HEALTHCARE MD 501(c)(3) 3 UMSRH false CHESTER RIVER MANOR INC 200 MORGNEC ROAD CHESTERTOWN MD 21620 526070333 HEALTHCARE MD 501(c)(3) 10 UMSRH false MARYLAND GENERAL CLINICAL PRACTICE GROUP 827 LINDEN AVENUE BALTIMORE MD 21201 521566211 HEALTHCARE MD 501(c)(3) Type II UMMTH false UNIVERSITY OF MARYLAND MIDTOWN HEALTH INC 827 LINDEN AVENUE BALTIMORE MD 21201 521175337 HEALTHCARE MD 501(c)(3) Type II UMMSC false MARYLAND GENERAL HOSPITAL INC 827 LINDEN AVENUE BALTIMORE MD 21201 520591667 HEALTHCARE MD 501(c)(3) 3 UMMTH false CARE HEALTH SERVICES INC 219 SOUTH WASHINGTON STREET EASTON MD 21601 521510269 HEALTHCARE MD 501(c)(3) 10 SHS false MEMORIAL HOSPITAL FOUNDATION INC 219 SOUTH WASHINGTON STREET EASTON MD 21601 521282080 FUNDRAISING MD 501(c)(3) Type I SHS false UNIVERSITY OF MARYLAND COMMUNITY MEDICAL 22 SOUTH GREENE STREET BALTIMORE MD 21201 521874111 HEALTHCARE MD 501(c)(3) 3 UMSRH false SHORE HEALTH SYSTEM INC 219 SOUTH 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